Submit an Employer's Wage Statement (DWC-3)

Claim Number
Injured Worker's Last Name
Date of Injury
Date of Hire
Email address for destination of the confirmation of
DWC-3 submission
Email Address
Confirm Email

This is a private computer system containing confidential information. Texas Mutual Insurance Company (the "company") strictly prohibits unauthorized access. Unauthorized access means using the Company's computers, systems, networks, data, or software without the company's consent. Unauthorized access is a criminal offense. Unless the Company has given you authorized access, you may not access this computer system.

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